# RANDON S. PRATHER, D.M.D., P.S.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gentle Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306235619
- **Authorized official:** DR. RANDON SCOTT PRATHER D.M.D. (PRESIDENT)
- **Authorized official phone:** (270) 527-1479

## Contact information

- **Practice address:** 1301 OLIVE ST, BENTON, KY 42025-1640
- **Practice address phone:** (270) 527-1479
- **Mailing address:** 1301 OLIVE ST, PO BOX 585, BENTON, KY 42025-1640
- **Mailing address phone:** (270) 527-1479
- **Mailing address fax:** (270) 527-3192

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 9492 | KY | Yes |

## Other

- **Enumeration date:** 01/11/2015
- **Last updated:** 01/11/2015